Integrative Management of the Gummy Smile: Lip repositioning, Crown Lengthening & Restorative Nuances
The gingival smiles can be mild, moderate and severe , according to the degree of gingival exposure while smiling . Depending on the etiology of the problem , mild and moderate gummy smiles can be treated with moderate periodontal plastic surgery , however for severe , this procedure is not enough .

Peri-implantitis: Management and Preventative Strategies
This presentation reviews the definition, diagnosis and some current treatment modalities of peri-implant mucositis and peri-implantitis today. We will discuss protocols that should be implemented into your office to help establish an early diagnosis of the hard and soft tissue as well as treatment options, preventative strategies, risk management and maintenance to limit future errors.

Clinical Case Review
Dr. Rosenberg reviews a severe clinical case.

The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy?
Implant therapy is in the age of being increasingly aesthetically driven, not merely restorative. With the increasing popularity of immediate implants, particularly with anterior tooth extraction, the relevance of socket changes following extraction has come to the fore. Contrary to what was originally believed, the installation of an immediate implant does not arrest bone loss, and immediate implants in the aesthetic zone are prone to recession of bone and soft tissue as a result of bundle bone resorption which is obligatory with tooth extraction.

"The Socket Shield Technique"; Myths & Realities
Socket Shield Technique is a concept in implant dentistry that utilizes the partial extraction therapy principles, with the goal of preserving the hard and soft tissues around the dental implants. It has been reported to be a very predictable therapy so far. The proper case selection is crucial for the success of the technique. In fact, it is very technique sensitive and requires an advanced level in implant dentistry. Although the technique has a high overall success rate, but long term studies and high evidence level researches are needed to support the proof of principle available. This presentation will discuss and review the "myths & realities" of the new Socket Shield Technique or "PET" (Partial Extraction Therapy) concept.

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Periodontal Plastic Surgery - Predictable Root Coverage in the Mandibular Incisor Region
This article presents a detailed case report as well as other supporting cases demonstrating predictable root coverage utilizing a subepithelial connective tissue graft.

Alargamiento clínico coronal en la erupción pasiva alterada - aspectos diagnósticos y quirúrgicos para el logro estético y la estabilidad tisular
El siguiente articulo nos muestra de una manera completa cómo se llevan a cabo este tipo de decisiones fundamentadas en aspectos biológicos y estéticos.

Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog
Dental implant surface technology has evolved from a relatively smooth machined implant surface for osseointegration to more roughened osteoconductive surfaces. Recent studies suggest that peri-implant soft tissue inflammation with progressive bone loss (ie peri-implantitis) is becoming a prevalent condition. One possibility that could explain sucha a finding is that more bacterial plaque forms on the roughened implant and abutment surfaces, which may result in the peri-implant inflammation if the soft tissues. This study compared 36 tissue-level implants with a machined transmucosal collar to 36 implants with a relatively roughened transmucosal surface in the dog. The results demonstrated that the connective tissue contact was similar between the two implant types but that the junctional epithelium and biologic width dimensions were greater around the implants with the machined collars...